| NPI | 1104098276 |
|---|---|
| Former Name | LAKIESHA DINESE KITCHEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: TN 47674) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 47674) |
| Enumeration Date | 2008-03-29 |
| Last Update Date | 2017-01-19 |